Marilou P. Medina, Dmd, Inc. in Fontana - General Practice
Marilou P. Medina, Dmd, Inc. - NPI 1669642963
Marilou P. Medina, Dmd, Inc. is a General Practice in Fontana, California. Marilou P. Medina, Dmd, Inc. practices all healthcare services and medical treatments related to General Practice. The NPI Number for Marilou P. Medina, Dmd, Inc. is 1669642963. The last update date is 2020-12-15.
Marilou P. Medina, Dmd, Inc.'s current location address is 14451 Foothill Blvd., Fontana, California. You can contact this provider via phone number 9093556400 and fax number 9093556411. The mailing address for Marilou P. Medina, Dmd, Inc. is 14451 Foothill Blvd., Fontana, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Marilou P. Medina, Dmd, Inc. |
|---|---|
| Address | 14451 Foothill Blvd., Fontana, California |
| Phone Number | 9093556400 |
| Fax Number | 9093556411 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DENTIST |
|---|---|
| Authorized Official Name | Medina Panganiban Marilou |
| Credentials | DMD |
| Telephone Number | 9093556400 |
NPI Number Detail
| NPI Number | 1669642963 |
|---|---|
| Provider Enumeration Date | 2008-03-03 |
| Last Updated Date | 2020-12-15 |
Provider Mailing Address Detail
| Address | 14451 Foothill Blvd. |
|---|---|
| City | Fontana |
| State | California (CA) |
| Post Code | 92335 |
| Phone Number | 9093556400 |
| Fax Number | 9093556411 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 44340 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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What is the unique identifier code issued to Marilou P. Medina, Dmd, Inc. by the Centers for Medicare & Medicaid Services (CMS)?
The Marilou P. Medina, Dmd, Inc. has been assigned the NPI (National Provider Identifier) 1669642963. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you kindly provide the complete physical address where Marilou P. Medina, Dmd, Inc.'s facilities are geographically located?
The facilities of Marilou P. Medina, Dmd, Inc. are physically situated at the following location: 14451 Foothill Blvd., Fontana, CA, 92335.
What is Marilou P. Medina, Dmd, Inc.'s specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Marilou P. Medina, Dmd, Inc.'s specialized field of practice is General Practice, and the corresponding taxonomy code that categorizes this area of specialization is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services issue the 1669642963 to Marilou P. Medina, Dmd, Inc.?
The Marilou P. Medina, Dmd, Inc. received its 1669642963 assignment from the Centers for Medicare & Medicaid Services on 2008-03-03.
As of what date were the details related to Marilou P. Medina, Dmd, Inc. most recently updated or revised?
The information pertaining to Marilou P. Medina, Dmd, Inc., including its address, specialty, and other relevant details, was last updated or revised on 2020-12-15.